Jones, Richard David
Jones, Richard David is an sole proprietor health care provider with primary practice located at 800 Fourth Street , Santa Rosa CA 95404-4505. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jones, Richard David can be contacted via phone (707) 542-1554.Contact Information
Primary practice address
800 Fourth Street
Santa Rosa CA 95404-4505
Phone: (707) 542-1554
Fax: (707) 542-1252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5543T | California |
Profile Details
| NPI number | 1295730406 |
|---|---|
| LBN Legal business name | Jones, Richard David |
| Credentials | O.D., F.A.A.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 6th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295730406 | NPPES |
| California | MEDICAID | SD0055430 |
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